PMID- 37280704 OWN - NLM STAT- MEDLINE DCOM- 20230608 LR - 20230621 IS - 1746-4358 (Electronic) IS - 1746-4358 (Linking) VI - 18 IP - 1 DP - 2023 Jun 6 TI - Factors associated with delayed initiation and non-exclusive breastfeeding among children in India: evidence from national family health survey 2019-21. PG - 28 LID - 10.1186/s13006-023-00566-0 [doi] LID - 28 AB - BACKGROUND: In India, more than half of the newborns experience delayed breastfeeding, and non-exclusive breastfeeding is practiced in 63% of babies below the age of six months. The goal of this study is to investigate the extent to which external environment, demographic and socioeconomic, pregnancy and birthing characteristics, as well as utilization of maternal care services, are associated with delayed initiation and non-exclusive breastfeeding among children in India. METHODS: Data was gathered from the fifth round of the National Family Health Survey (NFHS), which was conducted in 2019-21. This study used information on 85,037 singleton infants aged 0-23 months and 22,750 singleton infants aged 0-5 months. Delayed initiation of breastfeeding and non-exclusive breastfeeding was used as outcome variables in this study. Unadjusted and adjusted multivariable binary logistic regression was performed to analyse the association of delayed breastfeeding and non-exclusive breastfeeding with selected background characteristics. RESULTS: Factors significantly associated with increased risks of delayed initiation of breastfeeding included infants from in the central region (OR 2.19; 95% CI 2.09, 2.29), mothers in the 20 to 29 years age group at the time of childbirth (OR 1.02; 95% CI 0.98, 1.05), caesarean deliveries (OR 1.97; 95% CI 1.90, 2.05). The likelihoods for non-exclusive breastfeeding significantly increased among children belonging to the richest household status (OR 1.30; 95% CI 1.17, 1.45), mothers who had less than nine months of pregnancy period (OR 1.15; 95% CI 1.06, 1.25), and mothers who gave birth in non-health facility (OR 1.17; 95% CI 1.05, 1.31). CONCLUSIONS: The connections between several different categories of factors and non-exclusive breastfeeding and delayed breastfeeding initiation show the need for comprehensive public health programmes using a multi-sectoral approach to promote breastfeeding behaviours in India. CI - (c) 2023. The Author(s). FAU - Sharma, Madhurima AU - Sharma M AD - International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai, 400088, India. FAU - Anand, Abhishek AU - Anand A AD - International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai, 400088, India. anandabhishek361@gmail.com. FAU - Goswami, Indrajit AU - Goswami I AD - International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai, 400088, India. FAU - Pradhan, Manas Ranjan AU - Pradhan MR AD - International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai, 400088, India. LA - eng PT - Journal Article DEP - 20230606 PL - England TA - Int Breastfeed J JT - International breastfeeding journal JID - 101251562 SB - IM MH - Infant MH - Female MH - Pregnancy MH - Infant, Newborn MH - Humans MH - Child MH - Young Adult MH - Adult MH - *Breast Feeding MH - Mothers MH - *Maternal Health Services MH - India MH - Health Surveys PMC - PMC10245522 OTO - NOTNLM OT - Delayed breastfeeding OT - India OT - Infant OT - Logistic regression OT - Non-exclusive breastfeeding COIS- The authors declare no competing interests. EDAT- 2023/06/07 01:07 MHDA- 2023/06/08 06:42 PMCR- 2023/06/06 CRDT- 2023/06/06 23:46 PHST- 2023/01/24 00:00 [received] PHST- 2023/05/30 00:00 [accepted] PHST- 2023/06/08 06:42 [medline] PHST- 2023/06/07 01:07 [pubmed] PHST- 2023/06/06 23:46 [entrez] PHST- 2023/06/06 00:00 [pmc-release] AID - 10.1186/s13006-023-00566-0 [pii] AID - 566 [pii] AID - 10.1186/s13006-023-00566-0 [doi] PST - epublish SO - Int Breastfeed J. 2023 Jun 6;18(1):28. doi: 10.1186/s13006-023-00566-0.